Abstract: On October 23, 1995, Employee #1 and two coworkers were forming the bridge deck of a new bridge under construction. The coworkers' lanyards were attached to a first setting machine that was used to place the forms on the two outer girders of the bridge deck. The first setting machine runs on rails and Employee #1 was going to use a swivel outrigger attached to it to set a section of rail. He attached his lanyard to a cable on the unsecured rail. While Employee #1 was on the girder next to the unsecured rail, the rail moved as the outrigger rigging was being removed. When the rail moved, Employee #1 fell from the bridge. Either he was pushed off the girder and fell, bringing the rail with him; or the rail fell from the bridge, bringing Employee #1 with it. Employee #1 fell into the river and drowned.